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TRICARE SOUTH RESERVE/GUARD ADVISORY COMMITTEE MEETING

TRICARE SOUTH RESERVE/GUARD ADVISORY COMMITTEE MEETING. January 21, 2010. Overview. Opening Comments Open Items From Last Meeting (22 July 2009) New NDAA (2010) TRICARE Policy DoD Lifestyles Assessment Program (DLAP) and Health RelatedBehavior (HRB) Survey

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TRICARE SOUTH RESERVE/GUARD ADVISORY COMMITTEE MEETING

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  1. TRICARE SOUTH RESERVE/GUARD ADVISORY COMMITTEE MEETING January 21, 2010

  2. Overview • Opening Comments • Open Items From Last Meeting (22 July 2009) • New NDAA (2010) TRICARE Policy • DoD Lifestyles Assessment Program (DLAP) and Health RelatedBehavior (HRB) Survey • TRICARE Updates, Including TRICARE Reserve Select, Provider Availability, and Briefing Request Updates • Update on New TRICARE Contract (T-3) • Feedback from the Field • Closing Comments 2 of 27

  3. Open Items From Last Meeting (July 22, 2009) Ms. Sherry Steindel, RC BCACTRICARE Regional Office-South

  4. Items From Last Meeting How To Access LOD Dental Care With the New TRICARE Active Duty Dental Program - Developed info paper addressing dental care and provided info paper to all RC POCs USAR Needed TRICARE Pacific Contact Information - Provided USAR with TAO-Pacific Area contact info MS NG Wanted Information on How New Access Standards Would Effect Prime Enrollees (Retired) - Information letter provided to all participants

  5. Items From Last Meeting (Cont.) OK NG Had Concerns Accessing Dental Care at a DTF in Their Area - Coordination completed with the DTF; OK NG Members now receiving appropriate access.

  6. National Defense Authorization Act (NDAA) Updates Dr. Jody Donehoo Chief, Warrior Support Branch TRICARE Management Activity

  7. TRICARE Retired Reserve (TRR)(Gray-Area Retirees) • Contrasted with TRICARE Reserve Select (TRS) • Retired Reservists may qualify to purchase TRICARE coverage • Qualified for non-regular retirement at age 60, but is not yet age 60 • Commonly called gray-area retirees • Not enrolled or eligible to enroll in Federal Health Employees Benefits (FEHB) program • TRR premiums equal full cost of premium by law - TRR – premiums are not subsidized - TRS – premium rates reflect 28% of total TRS premium costs • TRICARE Standard/Extra comprehensive coverage for a) member-only or b) member and immediate family - TRR: retiree cost shares, deductibles, and catastrophic cap apply - TRS: active duty family member cost shares, deductibles, and catastrophic cap apply • Statute requires DoD to prescribe federal regulations Section 705, NDAA for FY 2010 7 of 27

  8. DoD Lifestyles Assessment Program (DLAP) and Health Related Behavior (HRB) Survey Lt Col Janet Pouncy Assistant Director, Medical Readiness & Program OASD/RA (Manpower & Personnel)

  9. DoD Lifestyles Assessment Program (DLAP) • BACKGROUND • Initiated in 2005 by USD (P&R); directed by ASD (HA) • DLAP builds on Active Duty (AD) health behavior surveys conducted since 1980; 2005 AD final report most current fielding and is basis for comparison • In 2006, broadened assessment scope to Reserve Component (RC) and Unit-level influences • Includes surveys, special studies, and evaluations • PURPOSE • Assess lifestyle factors affecting health and readiness • Identify/track health-related trends and high-risk groups • Target groups and/or lifestyle factors for intervention • Help identify future directions for additional studies, DoD programs and policies

  10. 2006 DoD Survey • BACKGROUND • Largest anonymous population-based health behavior survey of Reserve Component personnel • First survey of its kind conducted on the Reserve Components (RC) • ASD(HA) and ASD(CN) - proponents • METHODOLOGY • Reserve Centers and Armories randomly chosen from 16 randomly selected clusters • All RCs represented: Army Reserve, Army National Guard, Navy Reserve, Marine Corps Reserve, Air Force Reserve, and Air National Guard • Anonymous on-site administration (80%). Mail questionnaires sent to non-clustered, remote installations (20%). • 18,342 usable questionnaires overall (including full-time and/or activated Guard/Reservists) • Overall response rate of 55.3% (completed questionnaires/number expected to be drilling on data collection weekend) • Stratified by each RC; due to large number of small facilities and unknown composition of personnel attending on a given drill weekend, additional stratification not possible.

  11. Survey to be Conducted by RTI International • RTI International (Research Triangle Inc) • Independent, nonprofit research organization • Headquartered in central North Carolina • Maintains satellite and project offices around the world • Founded in 1958 by three Triangle Universities • Duke University (Durham) • University of North Carolina (Chapel Hill) • North Carolina State University (Raleigh)

  12. Topic Areas169 Questions; 9 Standard Scales • Substance Use: Alcohol, Tobacco, Illicit drug use • Selected Healthy People 2010 Objectives • Mental well being • Weight management • Exercise/fitness/nutrition • Deployment related issues • Safety - Helmet/safety belt use • Health Status • Preventive/sexual/oral health • Productivity • Negative life events/behavioral problems/risk-taking behaviors • Spirituality/religiosity • Job satisfaction • Sociodemographics

  13. Sampling Overview

  14. Command Support Needed • Importance of this survey cannot be overstated • Please encourage members to participate • Purpose is fourfold: • Assess lifestyle factors affecting health and readiness • Identify/track health-related behavior trends and high-risk groups • Target groups and/or lifestyle factors for intervention • Help identify future directions for additional studies, DoD programs and policies

  15. TRICARE Reserve Select (TRS) andBriefing Request UpdateMr. Mac Sanders, RC BCACTRICARE Regional Office-SouthMr. Wendell Cheek, Director, Guard and Reserve ProgramsHumana Military Healthcare Services

  16. TRICARE Programs Overview TRICARE Reserve Select (TRS) - Numbers - 2010 Premium Increases TRICARE Provider Availability TRICARE Briefings - Numbers - Command Support

  17. TRICARE Reserve Select Total Enrollment Source: DMDC as of December 31, 2009 January 21, 2010

  18. TRS Total Numbers

  19. TRS Total Covered Lives Source: DMDC as of Dec 31, 2009 January 21, 2010 19 of 27

  20. TRICARE Reserve Select Premiums • 2009 Premiums • Member Only $47.51 Monthly • Member and Family $180.17 Monthly • 2010 Premiums • Member Only $49.62 Monthly • Member and Family $197.65 Monthly

  21. SUMMARY OF NETWORK ADEQUACY

  22. National Guard and Reserve Outreach CY 09 Contact Venues Attendees • 122 Family Day Briefings 33,973 • 127 Conference Presentations 26,666 • 618 Unit Briefings 120,531 • 199 Yellow Ribbon with 47,112 attendees • Calls Received on Unique 800 Line 55,655 • “Hits” on NGR Website 12,525 • 9 Leadership Briefings 1,288 Benes w/opportunities to receive TRICARE info 250,638

  23. National Guard and Reserve Unit Briefings CY 09 • Alabama = 38 • Arkansas = 25 • Florida = 145 • Georgia = 82 • Louisiana = 91 • Mississippi = 61 • Oklahoma = 63 • South Carolina = 16 • Tennessee = 51 • Texas = 168 * Includes Family Day and Unit Briefings = 740

  24. New TRICARE Contract and What It Means to You (Update on T-3) Ms. Martha Lupo, Chief Operating Officer TRICARE Regional Office-South January 21, 2010

  25. Feedback From the Field Open Discussion

  26. Closing Comments Mr. William Thresher, Director TRICARE Regional Office-South Mr. Larry Burchfield, Senior Executive Humana Military Healthcare Services

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